Nokea
Which of these clients would the triage nurse request the healthcare provider to examine immediately?
- A. A 5-month-old infant with audible wheezing and grunting
- B. An adolescent with soot on the face and shirt
- C. A middle-aged man with second-degree burns on the right hand
- D. A toddler with singed ends of long hair extending to the waist
Correct Answer: A
Rationale: The correct answer is A. Audible wheezing and grunting in an infant indicate respiratory distress, which is a critical condition requiring immediate assessment and intervention by the healthcare provider. Choices B, C, and D do not present with immediate life-threatening conditions that require urgent evaluation. Soot on the face and shirt, second-degree burns on the hand, and singed hair, while concerning, do not pose an immediate threat to life compared to respiratory distress in an infant.
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A client is admitted for COPD. Which finding would require the nurse's immediate attention?
- A. Nausea and vomiting
- B. Restlessness and confusion
- C. Low-grade fever and cough
- D. Irritating cough and liquefied sputum
Correct Answer: B
Rationale: Restlessness and confusion are signs of hypoxia and hypercapnia in a client with COPD, indicating that the client's condition may be deteriorating rapidly. Immediate attention is necessary to prevent further complications. Nausea and vomiting (Choice A) may be related to various factors but do not directly indicate respiratory distress. Low-grade fever and cough (Choice C) are common in COPD and may not require immediate intervention. Irritating cough and liquefied sputum (Choice D) are typical symptoms of COPD exacerbation but do not signal an immediate need for attention as restlessness and confusion.
The public health RN is called to investigate a report of several cases of varicella at a daycare center. The daycare workers state that 5 children have been sent home over the past 2 weeks with fever and itchy blisters. Which intervention should the RN implement first?
- A. Validate that the children who were sent home had chickenpox.
- B. Ask the parents to take the child to see their pediatrician.
- C. Ask the parents to not send the child back to daycare until after 6 weeks.
- D. Tell the parents to send the child back to daycare; it was a mistake they were sent home.
Correct Answer: A
Rationale: The correct answer is to validate that the children who were sent home had chickenpox. This is crucial in confirming the presence of varicella, which is necessary for appropriate management and control of the outbreak. Option B is not the first intervention because the focus initially is on verifying the cases within the daycare center. Option C is incorrect as it suggests a prolonged exclusion period without confirming the diagnosis. Option D is inappropriate and potentially harmful, as sending a child back without proper assessment can lead to further spread of the infection.
The family presents several problems. Which of the following criteria is considered in determining the priority health problem?
- A. expected consequence of the problem
- B. cooperation and support of the family
- C. involvement of the family members in the problem
- D. modifiability of the problem
Correct Answer: D
Rationale: When determining the priority health problem within a family, one key criterion to consider is the modifiability of the problem. This means assessing whether the health issue can be changed or improved through interventions. Choices A, B, and C are not directly related to the priority of the health problem within the family. The expected consequence of the problem, cooperation and support of the family, and involvement of family members are important factors but do not specifically address the priority of the health issue based on modifiability.
A traditional plant used to lower uric acid is used by Rosario, a 55-year-old client with rheumatism. This herbal plant called "ulasimang bato" is commonly known as:
- A. Lagundi
- B. Pancit pacitan
- C. Bayabas
- D. Sambong
Correct Answer: B
Rationale: The correct answer is B, Pancit pacitan (Peperomia pellucida), which is known for its uric acid-lowering properties. Ulasimang bato is the local name for this traditional plant. Choices A, C, and D are incorrect. Lagundi (Choice A) is commonly used for its antitussive and anti-asthmatic properties. Bayabas (Choice C) refers to guava, which is known for its high vitamin C content and other health benefits. Sambong (Choice D) is used for its diuretic properties and is often utilized for kidney health.
The nurse understands that the primary goal of the occupational health program is:
- A. curative care of workers/employees
- B. birth and death rates
- C. disease trends
- D. social environmental conditions
Correct Answer: A
Rationale: The primary goal of an occupational health program is to provide curative care to workers/employees. This includes preventing and treating work-related illnesses and injuries, promoting workplace safety, and ensuring the well-being of employees in their work environment. Choice B, birth and death rates, is not directly related to the primary goal of an occupational health program. Choice C, disease trends, may be a focus of public health programs but is not the primary goal of an occupational health program. Choice D, social environmental conditions, while important for overall health, is not the primary goal of an occupational health program which is more focused on the health and safety of workers in their work settings.